Active NPI
John E Van Cleve III, DDS
- Dentist
- Centerville, TN
National Provider Identifier
1487879326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS0000003827
- Practice address
- 108 E Swan St
Centerville, TN 37033-1444 - Phone
- (931) 729-4421
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS0000003827 | TN | Primary |
Addresses
Primary practice location
108 E Swan St
Centerville, TN 37033-1444
Mailing address
108 E Swan St
Centerville, TN 37033-1444
Phone (931) 729-4421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS0000003827 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487879326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 E SWAN ST",
"city": "CENTERVILLE",
"state": "TN",
"postal_code": "370331444",
"telephone_number": "931-729-4421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 E SWAN ST",
"city": "CENTERVILLE",
"state": "TN",
"postal_code": "370331444",
"telephone_number": "931-729-4421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN CLEVE",
"first_name": "JOHN",
"middle_name": "E",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS0000003827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.